S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 497498 Tender Loving Care Health Care Services Southeast, Llc 6353 Center Drive, Bldg 8, Suite 205 Norfolk VA 3 (Philadelphia) 06/03/2021 8PQ311 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0572 Plan of care Standard
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0514 RN performs assessment Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 497498 Tender Loving Care Health Care Services Southeast, Llc 6353 Center Drive, Bldg 8, Suite 205 Norfolk VA 3 (Philadelphia) 09/30/2020 0PVN11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
G0682 Infection Prevention Standard
G0442 Written notice for non-covered care Element
G0484 Document complaint and resolution Element
▼ 497498 Tender Loving Care Health Care Services Southeast, Llc 6353 Center Drive, Bldg 8, Suite 205 Norfolk VA 3 (Philadelphia) 06/13/2018 OOTO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
G0574 Plan of care must include the following Element
▼ 497508 Southeastern Home Health Care, Llc 7502 Lee Davis Road Mechanicsville VA 3 (Philadelphia) 08/04/2021 BKWO11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0950 Ensure clinical manager is available Element
G1022 Discharge and transfer summaries Element
▼ 497508 Southeastern Home Health Care, Llc 7502 Lee Davis Road Mechanicsville VA 3 (Philadelphia) 08/22/2018 NFX011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0970 Parent-branch relationship Standard
G0412 Written notice of patient's rights Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0606 Integrate all services Element
G0984 In accordance with current clinical practice Element
▼ 497533 Eh Health Home Health Of Central Virginia, Llc 306 Gristmill Drive Unit C Forest VA 3 (Philadelphia) 05/09/2019 241G11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0686 Infection control education Standard
G0440 Payment from federally funded programs Element
G0574 Plan of care must include the following Element
G0818 HH aide supervision elements Element
G1022 Discharge and transfer summaries Element
▼ 497535 First Choice Home Health Care, Inc 46 Seventh Street Nw Norton VA 3 (Philadelphia) 02/19/2025 64921-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
▼ 497538 Amedisys Home Health, Inc. Of Virginia 4589 Lifestyle Lane Midlothian VA 3 (Philadelphia) 01/18/2023 5EB94-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0442 Written notice for non-covered care Element
G0484 Document complaint and resolution Element
▼ 497538 Amedisys Home Health, Inc. Of Virginia 4589 Lifestyle Lane Midlothian VA 3 (Philadelphia) 06/22/2022 4EDA8-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0534 Patient's needs Element
▼ 497538 Amedisys Home Health, Inc. Of Virginia 4589 Lifestyle Lane Midlothian VA 3 (Philadelphia) 02/02/2022 38366-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element